Individual
DIAMOND CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1133 THANET ST SW, CONCORD, NC 28025-7111
(919) 200-0731
Mailing address
1133 THANET ST SW, CONCORD, NC 28025-7111
(919) 200-0731
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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